Insurer, Mayo Clinic Use New Model To Sell New Plan
|By Dan Linehan, The Free Press, Mankato, Minn.|
|McClatchy-Tribune Information Services|
That, they say, is new because it includes the best coverage, Mayo's, and will be sold to individual customers. Those in employer-offered plans can already get it. It will be sold to residents of 22 southeastern
Between 5,000 and 10,000 of
But it's the way that the insurer and the provider are structuring the deal that they say may help change medicine.
Typically, insurers get paid for procedures. This leads doctors to order many expensive tests, which may or may not make patients healthier.
"It sets a new standard because we are both deeply committed to paying for value," said Dr.
The deal's promise is that patients won't have to make a trade-off between cost and service: They get
But the companies were vague about how they plan to meet that goal. The parties didn't release any financial figures, nor were they specific about how patients will see care that's different from other providers. How, in other words, will a different billing method (outcomes instead of procedures) look different to patients? For example, would patients still have to pay co-pays for procedures or would they only pay for measurable improvements in their health?
Dr. Noseworthy said Mayo's "patient-centered, team-based care," will "by its very nature" drive down waste and keep costs down.
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